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Form 7000-2, quarterly mine employment and coal production report must be filed within 15 days of the end of each calendar quarter.If filing by mail or fax, completed printed forms should be sent to msha peir-office of injury and employment information p.Box 25367 denver, colorado 80225-0367 toll-free fax 888 231-5515.
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Name of investigator 3.Date investigation started 4.Steps taken to prevent recurrence of accident month day year section c - complete for each reportable accident, injury or illness 5.Check the codes which best describe where accidentinjuryillness occurred see instructions.
File online at www.Gov or fill the 7000-2 form as completely as possible and mail to msha peir - office of orinjury and employment information you may fax to 1- 888 - 231 - 5515.Box 25367 or you may email to zzmsha-peiroieidol.Denver, co 80225-0367.If it is necessary to make any address changes, indicate correct.
The first copy page 2 will be mailed to the appropriate local msha district or field office.If the mailed forms do not show return to duty information on an injured employee, complete and mail the second copy page 3 to msha, office of injury and employment information, when the employee returns to regular job at full capacity or a final.
30-1 - general instructions for completing msha form 7000-2.Cfr prev next 50.30-1 general instructions for completing msha form 7000-2.Number is the 7-digit number assigned to the mine operation by msha.Any questions regarding the appropriate i.Number to use should be directed to your local msha district.
A complete items 5 through 12 for each accident, occupational injury, or occupational illness.Location and mining method.Circle the appropriate location code that was nearest to the location of the accident injury or illness.If the accident injury or illness occurred at the surface, circle only the surface location code in column a.If the accident injury or illness occurred.